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Customer Service Representative
2 months ago
Arcadia Solutions, LLC is seeking a highly skilled Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our clients and members.
Key Responsibilities- Answer incoming calls in a timely manner and provide accurate information to callers.
- Work well with others to resolve customer issues and meet quality standards.
- Perform outbound calls and training to ensure excellent customer service.
- Handle incoming calls independently and navigate through all systems used in Client Services.
- Achieve quality and AHT departmental goals.
- Work on special projects as needed and handle returned calls and voicemails.
- Provide excellent customer service and answer client and provider questions.
- Interpret client health plan protocol and backup to the claims processing area.
- Maintain accurate and complete call documentation and high level of professionalism.
- 1-3 years of customer service experience, preferably in the healthcare field.
- Health Care/Health insurance background preferred.
- Experience with BCBS HMOI or other insurance plans a plus.
- Use of multiple systems including Microsoft Office.
- Excellent verbal and written communication skills.
- Good attention to detail and commitment to quality.
- Positive mental attitude and ability to multi-task.
- Deadline oriented and ability to work independently with minimal supervision.
- HMO Managed care Medicare Advantage experience.
- High volume call center experience.
- Fluent in English and Spanish.
Arcadia Solutions, LLC helps innovative healthcare systems and health plans around the country transform healthcare to reduce cost while improving patient health. We do this by aggregating massive amounts of clinical and claims data, applying algorithms to identify opportunities to provide better patient care, and making those opportunities actionable by physicians at the point of care in near-real time.
